RSA-15 North Dakota Division of Vocational Rehabilitation - FY2013

I. Earnings and Employment

1. Gross Sales Total72,535
2. Merchandise Purchases Total46,610
3. Gross Profit Total25,925
4. Payroll Expenses Total0
5. Other Operating Expenses Total7,213
6. Total Expenses Total7,213
7. Operating Profit Total18,712
8. Vending Machine and Other Income Total53,744
9. Retirement and Other Benefits Paid Total0
10. Net Proceeds Total72,456
11. Levied Set Aside Funds Total0
12. Net Profit to Vendors Total72,456
13. Fair Minimum Return to Vendors Total0
14. Vendors Earnings Total72,456
15. Vendor Person Years of Employment Total2
16. Average Vendor Earnings Total36,228
17. The Median of Net Vendor Earnings in the State Total36,228
18. Number of Other Persons with Visual Disabilities Employed Total0
19. Number of Other Persons with Disabilities Employed Total0
20. Number of Persons Having No Disability Employed Total0
21. Total Number Employed in the Program Total0

II. Vending Facilities and Vendors

A. Facilities on Federal Property

1. Number at Beginning of Year Total2
2. Number Established during Year Total0
3. Number Closed during Year Total0
4. Number at End of Year Total2

B. Vending Facilities Loacted on Federal Property, End Of Year

Description Subtotal Total
1. General Services Administration n/a 2
2. U.S. Postal Service n/a 0
3. Department of Defense n/a 0
a) Military Dining Facility Contracts 0 n/a
b) Other DOD Vending Facilities 0 n/a
4. Department of Homeland Security n/a 0
5. Health and Human Services n/a 0
6. Vending Routes on Multiple Federal Locations n/a 0
7. All Other Federal Agencies (Identify) 0
8. Total n/a 2

C. Contracts for Operation of Cafeterias and Military Dining Facilities

(No contracted cafeteria and military dining hall operations have been entered.)

D. Vendors on Federal Property

1. Number at Beginning of Year Total2
2. Number Entering during Year Total0
3. Number Leaving during Year Total0
4. Number at End of Year Total2

E. Facilities on Public Property (State, County, Municipal)

1. Number at Beginning of Year Total0
2. Number Established during Year Total0
3. Number Closed during Year Total0
4. Number at End of Year Total0
a. Vending Facilities on State Property (end of Year)0
b. Vending Facilities on County Property (end of Year)0
c. Vending Facilities on Municipal Property (end of Year)0

F. Vendors on Public Property (State, County, Municipal)

1. Number at Beginning of Year Total0
2. Number Entering during Year Total0
3. Number Leaving during Year Total0
4. Number at End of Year Total0

G. Facilities on Private Property

1. Number at Beginning of Year Total0
2. Number Established during Year Total0
3. Number Closed during Year Total0
4. Number at End of Year Total0

H. Vendors on Private Property

1. Number at Beginning of Year Total0
2. Number Entering during Year Total0
3. Number Leaving during Year Total0
4. Number at End of Year Total0

III. Vending Locations under the Interstate Highway Program

(Transportation Equity Act for the 21st Century of June 1998)

Category Total Number Total Vending Machine Receipts
1. Total Vending Locations 17 n/a
2. Locations Operated by Vendors 0 0
3. Locations Operated by Third-Party Contractors 17 48,033
4. Vendors Employed in Highway Program 0 n/a

IV. Program Expenditures by Source of Funds

Category Total Vending Machine Income - Federal Vending Machine Income - Non-Federal Set-Aside State Appropriated Fund Federal Funds Other
1. Purchase of New Equipment 496 0 496 0 0 0 0
2. Maintenance of Equipment 0 0 0 0 0 0 0
3. Replacement of Equipment 0 0 0 0 0 0 0
4. Refurbish Facilities 0 0 0 0 0 0 0
5. Management Services 15,345 0 1,401 0 13,944 0 0
6. Fair Minimum Return 0 0 0 0 0 n/a 0
7. Retirement / Pension Programs 0 0 0 0 0 n/a 0
8. Health Insurance Programs 0 0 0 0 0 n/a 0
9. Paid Sick Leave / Vacation 0 0 0 0 0 n/a 0
10. Initial Stock & Supplies 0 n/a 0 n/a 0 0 0
11. All Other Expenditures 0 n/a 0 n/a 0 n/a 0
12. Total 15,841 0 1,897 0 13,944 0 0

V. Distribution and Expenditure of Program Funds from Vending Machine Income and Levied Set-Aside

Category Total Vending Machine Income - Federal Vending Machine Income - Non-Federal Levied Set-Aside
1. Amount on Hand at Beginning of Year 61,504 0 61,504 0
2. Funds Added during Year 48,033 0 48,033 0
3. Total Funds Available 109,537 0 109,537 0
4. Funds Distributed to Vendors 42,722 0 42,722 n/a
5. Other Funds Expended 1,897 0 1,897 0
6. Total Funds Distributed and Expended (Lines 4+5) 44,619 0 44,619 0
7. Amount at the End of the Year (Line 3 minus Line 6) 64,918 0 64,918 0

VI. Number of Sites Surveyed

Category Total Federal Property Non-Federal Property
1. Total 0 0 0
2. Accepted for Vending Facility Site 0 0 0
3. Not Accepted Due to Infeasibility of Site 0 0 0
4. Not Accepted Due to Lack of Funds by State 0 0 0
5. Denied by Property Management Official 0 0 0
6. Not Accepted Due to Lack of Qualified Vendors 0 0 0
7. Decision Pending 0 0 0

VII. Vendor Training

Category Number Total
1. Individuals Provided Initial Training 0
a. Number Licensed and Placed as Vendors 0
b. Number Certified Awaiting Placement as Vendors 0
c. Number Placed as Employees in the Vending Facility Program 0
d. Number Employed in Allied Food Service Occupations 0
2. Total Number of Individuals Who Are Certified and Awaiting Placement as Vendors 0
3. Number of Vendors Provided In-Service Training 0
4. Number of Vendors Provided Upward Mobility Training 0
5. Number of Vendors Participating in National Consumer-Driven Conferences 0
6. Number of Vendors Who Received Certification or Re-Certification in Food Safety through a Nationally Recognized or State Recognized Program 0

VIII. State and Nominee Agency Personel

A. Agency Personnel

Agency Personnel State Agency Personnel Nominee Agency Personnel Total
1. Vending Facility Program Budgeted FTE 1 0 1
2. Vending Facility Program Actual FTE 1 0 1

B. Training

Training State Agency Personnel Nominee Agency Personnel Total
1. Number Who Received In-Service Training Related to Blindness, Business Management, or Aspects of the Randolph-Sheppard Vending Facility Program 0 0 0
2. Number Who Received Training through an External Source Related to Blindness, Business Management, or Aspects of the Randolph-Sheppard Vending Facility Program 0 0 0
3. Number Who Participated in National Consumer-Driven Conferences 1 0 1
4. The Number Who Received Certification or Re-Certification in Food Safety Through a Nationally Recognized or State Recognized Program 0 0 0

Notes of Explanations

Certification

I do hereby certify that, to the best of my knowledge, the information given in this report is complete and accurate.
Name of Authorized OfficialRussell Cusach
TitleDivision Director
Date Certified12/18/2013

This form has been approved for use by OMB through July 31, 2014.